- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $31,622.78 / $40,738.03
| Facility | | $26,915.35 | $31,622.78 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $33,113.11 / $54,954.09
| Facility | | $13,803.84 | $33,113.11 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $38,018.94 / $52,480.75
| Facility | | $28,840.32 | $38,018.94 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $34,673.69 / $57,543.99
| Facility | | $17,378.01 | $34,673.69 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $31,622.78 / $47,863.01
| Facility | | $20,417.38 | $31,622.78 | $47,863.01 |